Abstract: We present the case of a 44-year-old woman admitted to our institution with fever, constitutional symptoms, pancytopenia, and splenomegaly. A bone marrow was diagnostic of hairy cell leukemia. The patient was also found to be bacteremic with Mycobacterium abscessus, a highly unusual pathogen in this setting. She responded initially to 4-drug therapy and subsequently was discharge on monotherapy. A review of the case and literature is presented.
*Boston University, Boston; †HIV Clinic, MetroWest Medical Center, Framingham, and ‡University of Massachusetts Medical School, Worcester, MA.
Address correspondence and reprint requests to Jorge Fleisher, MD, MetroWest Medical Center, 115 Lincoln Street, Framingham, MA 01701. E-mail: firstname.lastname@example.org.